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Driver Information Sheet
Are you at least 23 years of age?
 Yes No
Do you have 2 years full-time tractor trailer driving experience? Yes No
Do you have more than 2 moving violations in the past 3 years? Yes No
Do you have a CDL with Tank and HazMat endorsements? Yes No
Do you have more than 1 minor accident in the past 3 years?  If yes, please complete the comments section. Yes No 
Comments:  
Have you ever been convicted of a DUI?  Yes No
If yes, when did the DUI occur?
Have you ever been convicted of a Felony?  Yes No
If yes, when did the felony occur and what type was it?
Has your license ever been suspended?
 Yes No
How many years tank experience do you have?
How many employers have you had in the last 3 years?
Give the age and weight of your tractor with full tanks of fuel.
Have you ever been employed by Liquid Transport Corp?  If so, when?
Name:
Street address:
City:
State/Province:
Zip Code:
Phone:
E-mail Address:
Terminal Referred:
Interest: Company Driver      Contractor
How did you hear about us?:

 

 
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 LTC Corporate Headquarters 
 8470 Allison Pointe, St 400, Indianapolis, IN 46250
Voice: 317-841-4200, Fax: 317-841-8259
Load Planning Center E-mail: lpc@liquidtransport.com.
 Questions or comments, please contact our Webmaster
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